Scabies Transmission: Risk of Infection from Contact - Dermatology

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Is the risk of transmission high if I touch something that a scabies patient has held (for example, if they embraced it)? Thank you!

Cao Xiaojie, 40~49 year old female. Ask Date: 2020/03/19

Dr. Wu Yuxin reply Dermatology


There is a risk, but it is not high.

Reply Date: 2020/03/19

More Info


Scabies, caused by the Sarcoptes scabiei mite, is a highly contagious skin condition that spreads primarily through prolonged skin-to-skin contact with an infected person. The risk of transmission can vary based on the type of contact and the environment. In your scenario, where you have come into contact with an object that was held by a person with scabies, the likelihood of transmission is relatively low, but it is not zero.

To understand the transmission dynamics better, it is essential to consider how scabies spreads. The mites that cause scabies can survive off the human body for a short period, typically 2 to 3 days, on surfaces or objects. However, they do not thrive in the environment like some other pathogens. The primary mode of transmission is through direct and prolonged skin contact, such as hugging, sharing a bed, or other intimate interactions. Casual contact, such as touching an object that an infected person has recently handled, poses a lower risk.

In your case, if the item you touched was not in direct contact with the skin of the infected individual for an extended period, the risk of contracting scabies is minimal. The mites are not likely to transfer from the object to your skin unless there was a significant amount of time spent in close contact with the infected person or their belongings. Moreover, scabies mites do not jump or fly; they require direct contact for transmission.

To further mitigate any potential risk, here are some preventive measures you can take:
1. Personal Hygiene: Wash your hands thoroughly with soap and water after touching any potentially contaminated items. This is a crucial step in preventing the spread of scabies and other infections.

2. Avoid Sharing Personal Items: Do not share clothing, towels, or bedding with someone who has scabies until they have been treated and are no longer contagious.

3. Clean and Disinfect: If you are concerned about possible exposure, consider washing any clothing or linens that may have come into contact with the infected individual in hot water and drying them on a hot cycle. This will help eliminate any mites that may be present.

4. Monitor for Symptoms: Be vigilant for any signs of scabies, which include intense itching, especially at night, and the appearance of a rash or burrows on the skin. If you notice any symptoms, consult a healthcare provider promptly for evaluation and potential treatment.

5. Consult a Healthcare Professional: If you have concerns about your exposure or if you develop any symptoms, it is advisable to seek medical advice. A healthcare provider can offer guidance on whether preventive treatment is necessary.

In summary, while the risk of contracting scabies from touching an object held by an infected person is low, it is essential to practice good hygiene and be aware of the signs and symptoms of scabies. If you have further concerns or develop symptoms, do not hesitate to reach out to a healthcare professional for personalized advice and treatment options.

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